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Medical Billing Services

Electronic and Paper Claim Submission

Claims are filed in the manner that best suits your needs. We tailor our billing services to meet the specific needs of each client so that we’re offering the best possible service for you. This means adjusting how we process claims in order to suit your preferences and needs. These services include:

  • Medical billing & coding
  • Filing claims either electronically or
  • Auditing claims
  • Following-up with insurance providers
  • Reducing time in A/R/
  • Increasing your collections
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    Our Electronic and Paper Claim Submission Services

    Every medical practice has different needs and requirements for how their billing is processed. For this reason, we tailor our services to meet your specific needs. This includes how we file your claims. In addition to your own preferences, insurance providers may also have requirements in terms of how they accept filed claims. Keeping this in mind, we adjust our billing processes to reflect both your needs and the requirements of insurance companies.

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    Accurate Claim Filing

    Our expertise and knowledge in coding can help to ensure that your claims are filed both accurately and on time. Whether you need claims filed electronically or on paper, we can process those for you correctly and in a timely fashion.

    Prompt Medical Billing

    One of the most common mistakes that medical practitioners make is not filing claims on time. Insurance companies typically have deadlines that you have to meet in order to avoid the claim being denied. It’s easy for busy doctors and other medical professionals to simply not have time to make those deadlines. Outsourcing your billing can help to guarantee prompt filing, both electronically and on paper. Typically, we can get your claims to insurance payers within 48 hours.

    Insurance Provider Follow-up

    Filing claims isn’t all we do. Once a claim has been filed with an insurance company, we keep track of it. We run daily audits to determine the status of each claim, no matter how it was filed. When necessary, we check in with insurance providers to see if there’s a problem or whether the payer has denied the claim.

    Claims Denial Management

    Another service we offer is claims denial management. While many claims are denied by insurance companies for things like inaccurate coding or late filing, outsourcing eliminates those causes. Those two aren’t the only reasons a payer may deny a claim, however. We look into each denial and make the adjustments required to refile.

    Get a more profitable practice

    Increase collections by 15%

    Inhouse Medical Billing

    $1,200,000 revenue

    – $45,000 biller salary

    – $40,000 secondary biller salary

    – $23,750 Benefits and Overhead @ 25% of salary

    – $3,000 Cost of software and hardware for billers

    – $1,200 Cost of Postage


    $1,087,000 in net collections

    Average billing expense of 10.25% of collected revenue

    Outsourced Medical Billing

    $1,400,000 17% increase in top line collected revenue

    – $77,000 5.5% of collected revenue


    $1,323,000 in net collections

    Average billing expense of 5.5% of collected revenue plus the added collective revenue from outsourcing

    Benefits of Electronic and Paper Claim Submission

    There are a number of benefits to outsourcing your medical billing. Our flexibility in meeting both your needs and the requirements of each insurance payer is just one of them.

    Fewer Claims Denials

    We reduce the risk of a claim being denied by the payer in a number of ways. To start, we can file either electronically or on paper, whichever the insurance company requires. We also offer more accurate coding than what many medical practices can do themselves. Additionally, we file in a timely manner so that deadlines aren’t missed.

    Faster Collections

    Whether a claim has been submitted electronically or via a paper claim, we can ensure that you receive your collections owed faster than if you’d filed them yourself. Typically, claims we file spend 19 fewer days with the payer’s accounts receivable.

    Increased Medical Collections

    Outsourcing your medical billing can also increase your total collections. We’ll file claims in whatever way the insurance provider requires to eliminate the risks of denials. With our more accurate and more specific coding, we’ll maximize your collections with each insurance company.

    Testimonials

    What our clients are saying

    "I would recommend Quest without reservation."

    "We were a busy Urological group with four clinicians and had just been informed by our Medical Billing Service that they were closing their operation. We needed to associate with a new service quickly. We heard about Quest through our IPA, an organization where I am on the board. Quest was interested in working with more practices in our area and had a very good local and national reputation.
    Adam and his team promptly visited with us. We had also met with other services but it became clear that Quest would be our choice. Quest was knowledgeable, hands-on, transparent, flexible, and ready to move ahead quickly. As promised, things did move ahead quickly and seamlessly.
    Things have continued to work out well. In retrospect, Quest has been far superior to our previous billing service. It has been a pleasure to work with Adam and his team. I would recommend Quest without reservation."

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    Roderick Crocker, MD

    Urologist, Cambridge Urological Associates

    "They did a great job with our billing."

    Dr. Duncan Gill

    "…saving our practice tens of thousands of dollars."

    "Quest National Services and Adam have been vital to the success of the Highland OBGYN practice. Quest National was able to take on our account in a very quick manner and has transitioned our practice from one software to another with little down time ultimately saving our practice tens of thousands of dollars. The team at Quest National have been the partners my growing OBGYN practice has needed. Most important for me is their ability to provide us redundancy when we otherwise wouldn’t have it. I couldn’t be more thankful for their dedication to our practice."

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    Mark Lowney

    OB/GYN, Southcoast Health

    "Worked with our existing software so that we didn’t have to make expensive changes"

    "My husband and I have a small practice but we were looking for a medical billing company to consult us. We originally started with a local company with some satisfaction. However, our biggest problem was that they wanted us to change our existing EMR to software that they worked with. Quest National Services worked with our existing software so that we didn’t have to make expensive changes to our infrastructure. That saved us a lot of time and headache. I would definitely say that was one of the main reasons for why we switched and why we continue to work with Quest. As a small practice, they helped us without draining our resources."

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    Adriana C.

    "I was impressed almost immediately by their transparency and consistent communication"

    "As an administrator of a multi specialty clinic, I was looking for a service that provided timely and consistent communication. I found in prior engagements with our prior 2 billing companies neither provided the level of communication or transparency our principals expected. When I was introduced to Quest I was impressed almost immediately by their transparency and consistent communication. We've been with them now 5 months and are so happy we made the move."

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    Roger P.

    "Quest has made the process so transparent and allowed us to increase our profits"

    "Our company made the decision to outsource our medical billing to Quest and we have been incredibly pleased with the results. The knowledge, dedication, and customer service provided by their team is truly first class!
    When we came to Quest, we had a hard time recovering our A/R and ensuring the accuracy of our billing. Quest has made the process so transparent and allowed us to increase our profits, while also pointing out and assisting in areas of improvement.
    I really appreciate the work of Nancy and her team, and the responsiveness of the CEO, Adam. They both always find the time to address any questions or problems we are having!"

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    Joseph D.

    "Quest lowered our time in accounts receivable by close to two weeks"

    "Quest has made a huge difference in our business, even within the limited amount of time that we’ve been using their services. We kept our current EMR and, in less than six months, Quest lowered our time in accounts receivable by close to two weeks! I couldn’t believe it. We’ve been very pleased with the services and responsiveness of their staff so far. We were able to get reimbursed faster which was so important. Moreover, Quest took over the burden of dealing with aging receivables so we could focus more on business. They offered so many options and services and we were able to find the perfect solution for us. Thanks to Adam and everyone at Quest!"

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    Peter H.